John M Ulrich, DO

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

5101010742 Issued in MI

Practice address

9463 Holly Rd
Suite 100
Grand Blanc, MI 48439-2557

Phone

(810) 695-3766

Fax

(810) 695-9881

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J Martin Ulrich D O P CGroup PAC ID 1153382908, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnulrich@pmi.allscriptsdirect.net
• Direct secure messaging: julrich1156174@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J Martin Ulrich DO PC

  • Otolaryngology Physician
  • Grand Blanc, MI
  • NPI 1861606972
  Medicare reassignment Care Compare group NPD Authorized official
• Steven C Reschak DO PC

  • Otolaryngology Physician
  • Grand Blanc, MI
  • NPI 1962689786
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1366554677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9463 HOLLY RD",
            "address_2": "SUITE 100",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392557",
            "telephone_number": "810-695-3766",
            "fax_number": "810-695-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MI",
            "license": "5101010742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3246111",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Michael Turner, LMSW, CAC-R, CAC-M
• Christopher David Tykocki, D.O.
• Oskar Ubysz, MD
• Muhammad Ata Ullah, PH
• Matthew Daley Ullrich, D.O., M.H.S.A.
• Kathlyn Underwood, DPM
• Unfold Art Therapy and Counseling
• United Home Health, Inc.
• Aneesha Nausheen Usman, MD
• Kayla Valdez

• Facial Plastic Surgery Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Facial Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.